5 - About Your Family

List the names and ages of ALL members of your household (adults and children)*

Full Name

Age

What type of experience does each family member have with dogs?*

6 - About Your Home

What type of home do you live in?*

What type of home do you live in?

Do You Rent, Own or Live with Your Parents?*

What Size Is Your Yard?*

Is your yard completely fenced-in or enclosed?*

Yes

No

7 - Care of Pets

Have you ever owned a Golden (Golden Mix) Retriever?*

Yes

No

Please explain why you would like to adopt a Golden (Golden Mix) Retriever?*

What other types of breeds have you considered?*

None

Labrador Retriever

Spaniel

Rottweiler

Other

What other types of breeds have you considered?

Does everyone in your home want to adopt a Golden (Golden Mix) Retriever?*

Yes

No

Who will be responsible for daily responsibilities of feeding and taking the dog out?*

Who will provide daily exercise for the dog?*

How and when?*

Where will the dog be kept during the day when you are at work or away from home? (specify location, access to water and shelter)?*

What is the longest period of time the dog will be left alone on a typical work day?*

Where will the dog sleep?*

Who will care for the dog when you are away on vacation?*

What are your plans for training your new dog?*

What types of training classes have you done with previous dogs?*

Have you ever crate trained?*

Yes

No

Has it ever been necessary to give away a previous pet?*

Yes

No

Other

Has it ever been necessary to give away a previous pet?

What brand of dog food do you currently use or plan on using?*

8 - Preferences

Reason for adoption*

Family Companion

Personal Protection

For Child

Gift

Playmate for current dog

Replace previous dog

Provide loving safe home for Golden (Golden Mix) Retriever

Other

Reason for adoption

Gender*

Male

Female

No Preference

Preferred age group (check all that apply)*

Puppy (under 1 year)

Young (1 - 3 years)

Adult (3-8 years)

Senior (Over 8 years)

Would you consider (check all that apply)*

Foster parenting while waiting for the perfect dog

A Golden Retriever Mix

Adopting two Golden Retrievers

A dog that must be an only pet

A dog that is afraid of small children

What type of temperament is best for your family? (check all that apply)*

High Energy

Active & Playful

Gentle & Friendly

Couch Potato

Dog(s) I Am Interested In: (GRREP does not guarantee any dog. We will always try to match our dogs and puppies with their best match.)

9 - Resources & References

Given the cost of routine veterinary care (shots, flea/tick, heartworm medication), premium food, boarding, grooming, licensing and occasional toys, how much do you think it will cost to care for the dog each year?*

Have you used a Veterinarian in the past?*

Yes

No

Veterinarian's Name

Veterinarian's Phone Number

Do you give your permission for Golden Retriever Rescue of El Paso to call the Veterinarian listed above as a reference?*

Yes

No

Have you used a Groomer in the past?*

Yes

No

Have you used a Boarding Kennel in the past?*

Yes

No

How did you hear about Golden Retriever Rescue of El Paso? (Check all that apply)*

Previous Adopter Referred Me (List Name Below)

Volunteer Referral (List Name Below)

Repeat Adopter

GRREP Website

Adoption Event

Facebook Page

Petfinder Website

Adopt a Pet Website

Fund-Raiser

Newsletter

Other

How did you hear about Golden Retriever Rescue of El Paso? (Check all that apply)

How did you hear about Golden Retriever Rescue of El Paso? (Check all that apply)

Yes, I have read and completed all sections*

Yes

Goldens are wonderful dogs. However, they are predisposed to several condition including ear infections, hot spots and excessive shedding. They need lots of exercise and attention. Without this, they often resort to other means to get attention, such as eating your slippers or digging in your garden. They can be trained to be excellent companions and excel in obedience. An adoption of a rescued Golden Retriever is a lifetime commitment to your new dog. We want both of you to be thrilled with each other and will be happy to help in any way to insure this. Please check below to indicate that you have read this statement and completed the above application to the best of your knowledge.